HomeMy WebLinkAboutOut of State Travel Request - Central ServicesGRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: Central Services
REQUEST SUBMITTED BY: Tom Gaines
CONTACT PERSON ATTENDING ROUNDTABLE: Tom Gaines
CONFIDENTIAL INFORMATION: ❑YES ®NO
DATE: 3/20/25
PHONE: 3276
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MWE I . III � I
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Request permission for Keith Conley, Evan Little, and myself to travel to the NACo
Annual Conference and Technology Innovation forum in Philadelphia PA July 10-15-2025
Cost per member is $2,406 each paid from the respective Dept. travel budget.
If necessary, was this document reviewed by accounting? ❑ YES 0 NO
If necessary, was this document reviewed by legal? ❑ YES ® NO
DATE OF ACTION: 3 `
APPROVE: DENIED ABSTAIN
D1: K
D2:
D3:
4/8/24
DEFERRED OR CONTINUED TO:
Out of State Travel Request Application
DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on the
following week's Consent Agenda.
Traveler's Name(s): Keith Conley
Department/Office: Central Services/ GCTS
Purpose of Travel:
Destination:
NACo Annual Conference
Philadelphia
Dates of Travel:
Total Trip Cost Estimate: $ 21600.00
-.`
(This line will auto -sum the costs listed below)
Travel Type (Select One) :
Fund Number/Department:
Q Out of State Travel
❑ Out CONUS Travel (AK, HI or US Territory)
GCTS/Trave l
❑ Foreign Travel
❑ Extradition
Grant Funded? If Yes, List Grant Amount:
Cost Application (Select One):
❑ Yes
❑ Government Rate
Q No
Q Conference Rate
❑ Regu la r Rate
Hotel - GSA Rate: Hotel - Nightly Rate:
Hotel Total:
$
250.00 $ 1,000.00
Explanation for Rate: Required if hotel cost is greater than per diem orgovernment rate Conference Fee:
This is the conference rate if the have a lower government rate I will b $ 650.00
y g book that.
Rental Car Required? If Yes, Rental Car Cost:
Total Estimate of MI&E During Travel:
❑ Yes
$ 414.00
Q No
Air Carrier: Cost of Flight:
Additional Expenses:
average is 600.00
TBD
(Addt'l costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
Preparer's Name/Title: Preapproved by EO/DH? If Yes, EO/DH Name:
Tom Gaines Q
Yes
Tom Gaines
0
No
Out of State Travel Request Application
DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on the
following week's Consent Agenda.
Traveler's Name(s): Evan Little Department/Office: Central Services/ GCTS
Purpose of Travel: Destination:
NACo Annual Conference
Philadelphia
Dates of Travel: r R x� 202-1 Total Trip Cost Estimate: $ 2,600.00
f (This line will auto -sum the costs listed below)
Travel Tvve (Select One) :
Q
Out of State Travel
Out CONUS Travel (AK, HI or US Territory)
Foreign Travel
Extradition
Fund Number/Department:
GCTS/Travel
Grant Funded? If Yes, List Grant Amount: Cost Application (Select One):
Q Yes ❑ Government Rate
Q No 0 Conference Rate
Regular Rate
Hotel -GSA Rate: Hotel -Nightly Rate: Hotel Total:
$ 250.00
Explanation for Rate: Required if hotel cost is greater than per diem orgovernment rate
This is the conference rate, if they have a lower government rate I will book that.
Rental Car Required? If Yes, Rental Car Cost:
Q Yes
M No
Air Carrier:
Preparer's Name/Title:
Tom Gaines
Cost of Flight:
average is 600.00
1,000.00
Conference Fee:
$ 650.00
Total Estimate of MI&E During Travel:
$ 414.00
Preapproved by EO/DH?
Q Yes
0 No
Additional Expenses:
(Addt'l costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
If Yes, EO/DH Name:
Tom Gaines
Out of State Travel Request Application
DEADLINE: Due by Thursday at 12:00 p.m. to the Commissioner's Office with BOCC Consent Agenda Request Form, to be on the
following week's Consent Agenda.
Traveler's Name(s): Tom Gaines Department/Office: Central Services
Purpose of Travel: Destination:
NACo Annual Conference
Philadelphia
Dates of Travel: Total Trip Cost Estimate: $ 2,600.00
/,
(This line will auto -sum the costs listed below)
Travel Type (Select One) :
Q
Out of State Travel
Out CONUS Travel (AK, HI or US Territory)
Q
Foreign Travel
Extradition
Fund Number/Department:
Central Services/Travel
Grant Funded? If Yes, List Grant Amount: Cost Application (Select One):
Yes 0 Government Rate
Q No 0 Conference Rate
Q Regular Rate
Hotel -GSA Rate: Hotel -Nightly Rate: Hotel Total:
$ 250.00
Explanation for Rate: Required if hotel cost is greater than per diem orgovernment rate
This is the conference rate, if they have a lower government rate I will book that.
Rental Car Required? If Yes, Rental Car Cost:
Yes
Q No
Air Carrier:
Preparer's Name/Title:
Tom Gaines
Cost of Flight:
average is 600.00
1,000.00
Conference Fee:
$ 650.00
Total Estimate of MI&E During Travel:
$ 414.00
Preapproved by EO/DH?
Q Yes
0 No
Additional Expenses:
(Addt'l costs for extended stays, flight
upgrades, etc. at the expense of the traveler)
If Yes, EO/DH Name:
BOCC